Sɔntɛnde yu kin fil lɛk se yu de bɔn na yu chɛst afta yu dɔn it ebi ebi it? Ɔ yu kin fil sɔl te na yu trot afta sɔm tɛm? Bɔku pipul dɛn na Sri Lanka kin kɔl dis "gastritis". Bɔt nɔto ɔltɛm dis kin bi gastritis. Dis na sɔntin we difrɛn, ɛn i kin bi wan kɔndishɔn we wi fɔ rili no bɔt. Tide wi de tɔk bɔt Acid Reflux ɛn GERD, we na siriɔs kɔndishɔn.
Fɔ tɔk am simpul wan, wetin na Asid Riflɔks?
I rili simpul. Wi bɛlɛ gɛt bɔku kayn asid we de ɛp fɔ digest it. nכmal wan, dis it εn asid fכ go dכn frכm di bεlε, dat na, tכwεd di intestinal dεm. Dat na di rayt we. כltu, we dis bεlε asid fכ fכlכ bak כp, dat na, along di tכb we wi de sכlow it tru (di εsophagus) εn tכwεd di trot, wi kin kכl am Asid Riflכks.
Tink bɔt aw di asid we de na yu bɛlɛ strɔng. Di wɔl dɛn na yu bɛlɛ gɛt spɛshal tin we go ebul fɔ bia wit da asid de. Bɔt wi trot ɛn ɛsophagus nɔ gɛt da spɛshal kɔtin de. So we da strɔng asid de kam, i kin bɔn di dilik tisu dɛn we de na dɛn ples dɛn de ɛn mek di bɔdi wam. Dis na wetin wi kin kɔl "at bɔn." I kin bi nɔmal fɔ fil dis kayn we wan wan tɛm. Bɔt dis nɔto sik.
So wetin na GERD?
GERD na abbrevieshɔn fɔ Gastroesophageal Reflux Disease . Insay Sinhala, i min sik we dɛn kɔl gastroesophageal reflux. Pan ɔl we di nem kɔmplikt smɔl, i rili izi fɔ ɔndastand.
Asid riflɔks wan wan tɛm nɔto prɔblɛm. Bɔt if dis sik de kɔntinyu, we min se if yu gɛt dis bɔn na yu chɛst ɛn trot fɔ pas tu tɛm insay di wik, wi kin kɔl am GERD. Dis na wan sik we pɔsin kin gɛt we i de mɛn pipul dɛn.
Fɔ tɔk am simpul wan, GERD na wan sik we dɛn kɔl kronik asid riflɔks. wetin de apin ya na dat wan wik de na di mεkanism we de mek di tin dεm we de insay di bεlε nכ de kam כp.
Wetin na di sayn dɛm fɔ Asid Riflɔks ɛn GERD?
Bɔrku pipul kin gɛt wan ɔr mɔr pan dɛn sik ya di sem tɛm. Lɛ wi luk di men wan dɛn.
| Di sayn we de sho se di sik de | Wan simpul ɛksplen |
|---|---|
| Rigurjiteshɔn | Filin fɔ it, wata, ɔ asid we de kam bak ɔp frɔm di bɛlɛ insay di trot jɔs afta yu it. Wan sawt teys na di mɔt. |
| Fɔ fil se yu de bɔn | At bɔn na di men sayn we de sho se yu gɛt dis sik. Sɔm pipul dɛn kin gɛt am bak lɛk aw dɛn kin bɔn na di ɔp pat na dɛn bɛlɛ (acid indigestion). |
| Chɛst pen we nɔto at sik | Fɔ sɔm pipul dɛn, dis nɔ kin fil lɛk se dɛn de bɔn, bɔt i kin tan lɛk se dɛn de tay dɛn chɛst. Sɔm pipul dɛn kin fred bikɔs dis pen kin tan lɛk di pen we pɔsin kin gɛt we i gɛt at atɔk. |
| Nɔs ɛn anorexia | Asid na di bɛlɛ kin kam ɔp, we kin mek yu nɔs ɛn nɔ want fɔ it. Ivin afta lɔng tɛm, yu kin stil fil ful. |
| Trot kin at ɛn i nɔ kin izi fɔ swɛla | If asid go insay yu trot, i kin mek yu trot at. I kin fil lɛk se sɔntin dɔn stɔp na yu trot, lɛk wan lump. I kin at bak fɔ swɛla. Bɔku tɛm, dis kin apin na nɛt. |
| Simptom dɛm we tan lɛk asma | GERD kin mek yu gɛt sɔm kayn tin dɛn we tan lɛk asma, lɛk we yu de kɔf ɔltɛm, we yu de swɛt, ɛn we yu de swɛt. |
Ustɛm dɛn sayn ya kin bɔku?
- We yu de ledɔm fɔ slip na nɛt.
- Afta yu it big it wit tumɔs ɔyl ɛn chili.
- We yu ledɔm bifo.
- We yu de smok ɔ drink rɔm.
Smɔl pikin dɛn kin gɛt GERD?
Yɛs. I nɔmal fɔ mek pikin dɛn spit smɔl afta dɛn dɔn drink milk. I nɔto big prɔblɛm. Bɔt GERD na wan sik we rili siriɔs. I kin mek i nɔ fil fayn ɛn nɔ kin gri fɔ it. di pikin dεm we dεn bכn bifo tεm כ wit sכm prכblεm na di εsophagus kin gεt GERD.
Di sayn dɛm fɔ GERD pan yɔŋ pikin kin bi:
- Kray ɔltɛm fɔ natin, nɔ rɛst.
- I nɔ izi fɔ slip.
- Nɔ gri fɔ drink milk.
- Fɔ vɔmit ɔltɛm.
- We yu de blo ɔ yu vɔys de blo.
- Bad breath we pɔsin kin blo.
Wetin mek wi kin gɛt asid riflɔks lɛk dis?
di men rizin fכ dis na di wik we wan mכsul we de wok lεk valv we de na di εnd pan wi εsophagus (fud paip), usay i de kכnekt to di bεlε de wik. We wi de tɔk bɔt mɛrɛsin, dɛn kɔl dis di Lɔwa Ɛsophageal Sfinktɔ (LES) .
Dis LES tan lɛk domɔt. We wi swɛla it, dis domɔt kin opin, ɛn we di it go insay di bɛlɛ, i kin lɔk bak. We i lɔk, di tin dɛn we de insay di bɛlɛ nɔ kin ebul fɔ kam bak ɔp. Bɔt if dis LES domɔt wik fɔ sɔm rizin, if i nɔ lɔk fayn, dat min se di asid we de na di bɛlɛ de lik ɔp.
| Di men tin dɛm wae kin mek LES wik | |
|---|---|
| Hiatal Ɛnia we dɛn kɔl Hiatal | dis na we di כp pat pan di bεlε de push כp insay di chεst. Dis kin apin mɔ as wi de ol. Dis kin chenj di prɛshɔn pan di LES ɛn wik am. |
| We uman gɛt bɛlɛ | we uman bεlε, di prεshכn we di bεlε de gro εn di כmon chenj dεm kin mek di LES rilaks. Bɔku tɛm dis sik kin go afta dɛn dɔn bɔn di pikin. |
| Fat | As yu de gɛt mɔ wet, yu bɛlɛ fat de bɔku, ɛn dis de mek di prɛshɔn we de insay yu bɛlɛ go ɔp. dis prεshכn de push di LES כp, we de mek i izi fכ asid kכmכt. |
| Fɔ smok | Di kemikal dɛm we de insay tabak kin mek di LES rilaks. Smok kin mek bak di digest slo ɛn i kin mek di bɛlɛ gɛt mɔ asid. |
Apat frɔm dɛn men tin ya, sɔm mɛrɛsin dɛn (e.g., sɔm mɛrɛsin dɛn we gɛt ay blɔd prɛshɔn, tin dɛn we de mek pɔsin fil pen), sɔm it dɛn (chɔkolat, kɔfi, mint, it dɛn we gɛt fat), ɛn rɔm kin afɛkt dis bak.
Wetin kin apin if wi dismis dis as jɔs inflamɛns? (Kɔmplikeshɔn dɛn) .
Na dis ples wi nid fɔ pe atɛnshɔn mɔ. If wi nɔ trit am lɛk "jɔs smɔl gastritis," i kin mek wi gɛt siriɔs prɔblɛm fɔ lɔng tɛm.
- εsophagitis: di layn na di εsophagus kin inflamεd εn i kin at bikoz fכ kכntinyu fכ riflaks asid . Dis kin mek yu kɔntinyu fɔ fil pen ɛn i nɔ kin izi fɔ swɛla.
- Barrett’s esophagus: Dis na wan sik we rili siriɔs. biכs di sεl dεm we de na di lכw pat pan di εsophagus de bigin fכ chenj. Dis na prɛkansa sik we gɛt di potenshal fɔ divɛlɔp to kansa .
- di εsophageal stricture: As di injuri de kכntinyu fכ hεl, ska tisu kin fכm na di εsophagus, we de mek di εria sכmtεm. Dis kin mek i nɔ izi fɔ swɛla it.
- Trot ɛn prɔblɛm wit di we aw yu de blo: If asid rich na di trot ɛn go insay di say we yu de blo, i kin mek yu gɛt tin dɛn lɛk we yu de kɔf ɔltɛm, we yu de kray, ɛn asma, ɔ i kin mek yu gɛt asma we dɔn de, wɔs.
Aw dɔktɔ kin no se i gɛt GERD?
Afta yu dɔn lisin to yu sayn dɛm, yu dɔktɔ kin tɛl yu fɔ du sɔm tɛst fɔ no if yu gɛt di sik ɛn fɔ no aw i siriɔs.
- כp εndoskopi: insay dis, dεn de put wan tin tכb we gεt kεmεra na di εnd tru di mכt εn dεn de egzamin di insay pat pan di εsophagus εn di bεlε. Dis kin si klia wan if ɛni lɛsin ɔ chenj de.
- pH test: Dis de mכsu aw lכng εn aw mכch asid de insay di εsophagus.
- εsophageal manometry: dis tεst de mכsu di prεshכn εn di wok we di mכsul dεm na di LES εn εsophagus de du.
Wetin na di tritmɛnt dɛm fɔ dis?
Dɛn kin sheb di tritmɛnt fɔ GERD to tri men kategori. Bɔku tɛm, dɛn kin yuz wan ɔ mɔ pan dɛn we ya togɛda.
1. Chenj na di we aw pɔsin de liv in layf ɛn di we aw i de it
Ivin bifo wi tek mɛrɛsin, wi kin kɔntrol dis sik bɔku bɔku wan bay we wi de mek smɔl chenj dɛn na wi layf.
- Fɔ lɔs yu wet: If yu fat pasmak, yu fɔ lɛf fɔ it bɔku bɔku it dɛn.
- Fɔ kɔntrol di it: Bifo yu it wan big it wan tɛm, it sɔm smɔl smɔl it dɛn ɔl di de.
- Nɔ it it dɛn we gɛt spays ɛn we gɛt ɔyl:Nɔ it tin dɛn we gɛt spays, ɔyl, it dɛn we dɛn dɔn frɛsh, chɔklɛt, kɔfi, ɛn mint.
- Led afta yu it: Nɔ ledɔm fɔ at le 2-3 awa afta yu it na nɛt.
- Slip pozishɔn: We yu de slip, slip wit yu ed ɔp smɔl. I go bɛtɛ if yu ebul fɔ es di bed ɔp smɔl bay we yu put tu wud pan di leg dɛn we de na di ed fɔ di bed.
- Smok ɛn rɔm: I rili impɔtant fɔ stɔp dɛn tu tin ya kpatakpata.
2. Mɛrɛsin (di kayn mɛrɛsin dɛn) .
If di chenj we yu de chenj yu layf nɔmɔ nɔ go du fɔ kɔntrol di sik dɛn we yu gɛt, yu dɔktɔ kin gi yu mɛrɛsin.
- Antasid: Dɛn wan ya de wok bay we dɛn de ridyus di asid we de na di bɛlɛ kwik kwik wan. Dɛn fayn fɔ mek yu at pwɛl wan wan tɛm, bɔt dɛn nɔto sɔlv fɔ lɔng tɛm.
- H2 blכk dεm: dεn ya de ridyus di prodakshכn fכ di bεlε asid.
- di prכtכn pכmp inhibito dεm (PPI): Dis na di mכst pawaful dεm we de ridyus di asid. dεn kin stכp bכku pan di asid prodakshכn εn εp fכ hεl כlsa dεm na di εsophagus.
Di tin we impɔtant pas ɔl: Yu fɔ jɔs yuz ɛni wan pan dɛn mɛrɛsin ya ɔnda di advays we yu dɔktɔ gi yu. If yu tek dɛn na di famasi lɛk aw yu want, i go jɔs mek di kɔndishɔn wɔs ɛn mek yu gɛt prɔblɛm dɛn we de insay yu bɔdi.
3. Ɔpreshɔn
Fɔ di wan dɛn we gɛt GERD we rili bad we nɔ de ansa to mɛrɛsin, ɔ di wan dɛn we gɛt wan sik lɛk hiatal hernia, dɛn kin se dɛn fɔ du ɔpreshɔn. Dis involv fɔ mek di LES we wik strɔng.
Wetin yu fɔ du if yu gɛt pen na yu chɛst wantɛm wantɛm?
- Stand op stret: If yu de ledɔm, grap ɛn sidɔm ɔ tinap stret. Graviti go ɛp di asid fɔ go dɔŋ.
- Drink sɔm wata: Nɔto bɔku, jɔs fɔ drink sɔm wata kin ɛp fɔ was di asid ɛn go dɔŋ.
- Lus yu klos: If yu wɛr tayt klos ɔ bɛlt, lus am.
- Wan antisid: If yu gɛt wan antisid we dɔktɔ dɔn tɛl yu, yuz am.
Mɛsej we dɛn kin kɛr go na os
- Pan ɔl we na nɔmal tin we yu at kin bɔn wan wan tɛm, if yu gɛt dɛn sik ya pas tu tɛm insay di wik, na mɛdikal kɔndishɔn (GERD).
- Nɔ jɔs ignore am, tink se na "gastritis." If yu gɛt dɛn sik ya, fɔ tru, go to dɔktɔ ɛn gɛt kɔrɛkt diagnosis.
- Dɛn kin kɔntrol dis sik bɔrku wan wit simpul chenj na layf ɛn it.
- If dɛn nɔ trit GERD fayn, i kin mek i gɛt siriɔs prɔblɛm dɛn lɛk kansa na di εsophageal.
- Nɔ tek mɛrɛsin dɛn we de ridyus di asid fɔ lɔng tɛm we yu nɔ go to dɔktɔ.











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